Individual provider Active NPI

Ivanette Colon Pastrana, LMHC

  • Mental Health Counselor
  • North Bay Village, FL
National Provider Identifier
1912355496
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 13772 Issued in FL
Practice address
7601 E Treasure Dr
Cu1
North Bay Village, FL 33141-4391
Phone
(305) 302-8022
NPI assigned
May 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 13772 FL Primary

Addresses

Primary practice location

7601 E Treasure Dr
Cu1
North Bay Village, FL 33141-4391

Mailing address

10800 Biscayne Blvd
Suite 440
Miami, FL 33161-7482
Phone (305) 749-8617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH 13772FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Light Houses Behavioral and Habilitation Services Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1912355496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 BISCAYNE BLVD",
            "address_2": "SUITE 440",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331617482",
            "telephone_number": "305-749-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 E TREASURE DR",
            "address_2": "CU1",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414391",
            "telephone_number": "305-302-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON PASTRANA",
        "first_name": "IVANETTE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 13772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bay Village, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.